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[1]谢得慧,李丽娜,强兴,等.由《伤寒论》《金匮要略》中心下痞与恶寒的联系引发的思考[J].环球中医药,2016,9(01):38-41.[doi:10.3969/j.issn.1674-1749.2016.01.009]
　XIE De-hui,LI Li-na,QIANG Xing,et al.Reflection on the relationship between epigastric fullness and aversion to cold in treatise on febrile diseases and synopsis of golden chamber[J].,2016,9(01):38-41.[doi:10.3969/j.issn.1674-1749.2016.01.009]
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由《伤寒论》《金匮要略》中心下痞与恶寒的联系 引发的思考()
     
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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第9卷
期数:
2016年01期
页码:
38-41
栏目:
理论探讨
出版日期:
2016-01-06

文章信息/Info

Title:
Reflection on the relationship between epigastric fullness and aversion to cold in treatise on febrile diseases and synopsis of golden chamber
作者:
谢得慧; 李丽娜; 强兴; 陈萌
100029 北京中医药大学基础医学院[谢得慧(硕士研究生)、李丽娜、强兴(硕士研究生)、陈萌]
Author(s):
XIE De-hui;  LI Li-na;  QIANG Xing;  et al.
School of Basic Medical Sciences, Beijing University of Chinese Medicine, Beijing 100029, China
关键词:
心下痞;  恶寒;  表里;  脾胃;  升降出入
Keywords:
Epigastric fullness;  Aversion to cold;  Interior and exterior;  Spleen and stomach;  Activities of ascent;  descent;  exiting and entering
分类号:
R222
DOI:
10.3969/j.issn.1674-1749.2016.01.009
文献标志码:
A
摘要:
心下痞与恶寒的病机分别为脾胃气机升降失常与肌表卫气出入不利。本文从分析《伤寒论》《金匮要略》中二者共见的条文着手,结合仲景对此所施方药及《黄帝内经》中卫气理论与升降出入理论,得出表证与脾胃症状密切相关,多存在“必有表,复有里”的现象。且由于升降与出入相因,调营卫出入以利脾胃升降不失为临床上遇到棘手案例时的一种尝试方法。
Abstract:
The pathogenesis of epigastric fullness is ascending and descending disorder of splenogastric Qi, and that of aversion to cold is exiting and entering disorder of defense Qi. Based on the analysis of the “treatise on febrile diseases”and “golden chamber” in the two common original texts, combine with the prescription of Zhang Zhong-jing and the theory of defense Qi and the theory of ascending, descending, exiting, entering in Huangdi Neijing, this paper concluded that splenogastric syndrome is closely related to exosyndrome. Because of the relationship of ascending, descending and exiting, entering, it is a good try to regulate exiting and entering of yingqi and weiqi for the sake of ascending and descending of the spleen and stomach when facing some difficult cases in clinic.

参考文献/References:

[1] 刘渡舟. 伤寒论诠解[M]. 北京:人民卫生出版社,2013: 169,175.
[2] 柯雪帆. 一字推敲读伤寒——试论《伤寒论》中的“表里内外”[J]. 上海中医药杂志,1983,(3):38-41.
[3] 刘渡舟. 经方临证指南[M]. 北京:人民卫生出版社,2013:110.
[4] 孙文正,陈燕,高娜. 表里、枢机与脾胃相关性浅识[J]. 中医杂志,2009,50(2):187-188.
[5] 陈萌. 半夏泻心汤调节胃电节律的拆方研究[D]. 北京:北京中医药大学,2003.
[6] 清·周学海. 读医随笔[M]. 北京:人民军医出版社,2010: 14-15,21.

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　LOU Liang,FEI Yuwen,GUO Hua..Inheritance and development of “Treatise on Febrile and Miscellaneous Diseases” of the “Internal Canon of Medicine” on distention and fullness[J].,2017,10(01):965.[doi:10.3969/j.issn.1674-1749.2017.09.008]

备注/Memo

备注/Memo:
基金项目: 国家自然科学基金(81173192)
作者单位: 100029 北京中医药大学基础医学院[谢得慧(硕士研究生)、李丽娜、强兴(硕士研究生)、陈萌]
作者简介: 谢得慧(1989- ),2013级在读硕士研究生。研究方向:仲景的脉证方药体系研究。E-mail:pharaoh9@126.com
通讯作者: 陈萌(1970- ),博士,副教授,硕士生导师。研究方向:仲景的脉证方药体系研究。E-mail:chinmed@yeah.net
更新日期/Last Update: 2016-01-06